| NPI | 1306206719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 10432335-2506) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2021-03-31 |